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CTRI Number  CTRI/2021/03/032090 [Registered on: 17/03/2021] Trial Registered Prospectively
Last Modified On: 13/03/2021
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Study for Comparison between Tramadol and dexmedetomidine for treatment of post-spinal anaesthesia shivering 
Scientific Title of Study   Randomised double-blind comparative study of dexmedetomidine and tramadol for post-spinal anaesthesia shivering 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr parth hirpara 
Designation  Anaesthesia resident 
Affiliation  DR D Y PATIL MEDICAL COLLEGE NAVI MUMBAI 
Address  Room no. 306 Dr D.Y.patil medical college hostel sector -5 , Navi mumbai

Thane
MAHARASHTRA
400706
India 
Phone  7874213149  
Fax    
Email  parth9087@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr varsha vyas 
Designation  proffesor in anaesthesia  
Affiliation  DR D Y PATIL MEDICAL COLLEGE NAVI MUMBAI 
Address  Anaesthesia department- Dr D.Y.patil medical college sector -5 , Navi mumbai

Thane
MAHARASHTRA
400706
India 
Phone  9819583232  
Fax    
Email  varsha.vyas011@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr varsha vyas 
Designation  proffesor in anaesthesia  
Affiliation  DR D Y PATIL MEDICAL COLLEGE NAVI MUMBAI 
Address  Anaesthesia department- Dr D.Y.patil medical college sector -5 , Navi mumbai

Thane
MAHARASHTRA
400706
India 
Phone  9819583232  
Fax    
Email  varsha.vyas011@gmail.com  
 
Source of Monetary or Material Support  
Dr D.Y.Patil Hospitl , Nerul sector-9 ,Navi Mumbai 400706  
 
Primary Sponsor  
Name  Dr DYPatil Hospital 
Address  Nerul Sector 9 , Navi Mumbai 400706 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DR PARTH  Dr D.Y.Patil Hospital   Operation theater complex in anesthesia department.
Thane
MAHARASHTRA 
7874213149

parth9087@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
IECBH DYPSOM   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: 7||Osteopathic,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  dexmedetomidine 0.5 mcg/kg tramadol 0.5mg /kg  patient developing shivering after spinal anaesthesia intervened randomly by Dexmedetomidine -0.5 mcg/kg or Tramadol- 0.5 mg/kg , slow single intravenous bolus .anyone of two drugs will be used in one patient according to randomization table in single arm. 
Comparator Agent  dexmedetomidine and tramadol for post-spinal anaesthesia shivering  Dexmedetomidine -0.5 mcg/kg OR Tramadol- 0.5 mg/kg , slow single intravenous bolus to the patient according to computer generated randomization table ,anyone of two drugs will be used in one patient according to randomization table in single arm. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  >Patient giving consent
>patients of either gender aged 18-65 years scheduled for elective lower abdominal, lower limb surgeries under spinal anaesthesia
>American Society of Anesthesiologist physical status class I and II
 
 
ExclusionCriteria 
Details  • Patients with known hypersensitivity to dexmedetomidine or tramadol, cardio-pulmonary, renal or hepatic disease, hyperthyroidism, psychiatric disorder, urinary tract infection, severe diabetes or autonomic neuropathies, known history of substance or alcohol abuse, patients receiving any pre-medication.
• cesarean section
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
cessation of shivering , Episodes of recurrence   shivering ceasing within 15 min after treatment , time of recurrence after treatment 
 
Secondary Outcome  
Outcome  TimePoints 
Adverse effects such as nausea, vomiting, bradycardia (50/min), hypotension (20% of baseline), dizziness; and sedation score will be noted. The degree of sedation will be graded on a four-point scale as Grade 1: Awake and alert, Grade 2: Drowsy, responsive to verbal stimuli, Grade 3: Drowsy, arousable to physical stimuli, Grade 4: Unarousable  every 15 min interval hemodynemic changes  
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   20/04/2021 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

To compare efficacy of dexmedetomidine versus tramadol for control of post-spinal anaesthesia shivering.


To compare the perioperative variations in hemodynamic parameters and the incidence of adverse effects among the groups.


Dexmedetomidine (α2 adrenergic agonist) has been used for prevention of post anaesthesia shivering. Its use for the treatment of post-spinal anaesthesia shivering has not been evaluated. The aim of this study is to evaluate and compare the efficacy, haemodynamic and adverse effects of dexmedetomidine with those of tramadol, when used for control of post-spinal anaesthesia shivering.

 
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